Global Disability Burdens of Diabetes-Related Lower-Extremity Complications in 1990 and 2016
| Autor: | David G. Armstrong, Yuqi Zhang, Rosana E. Pacella, Peter A Lazzarini, Jaap J. van Netten, Steven M. McPhail |
|---|---|
| Přispěvatelé: | Rehabilitation medicine, AMS - Rehabilitation & Development |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Burden of disease Research design Diabetic neuropathy Endocrinology Diabetes and Metabolism Uncertainty interval medicine.medical_treatment 030209 endocrinology & metabolism Global Health History 21st Century Amputation Surgical Global Burden of Disease Diabetes Complications 03 medical and health sciences Global population 0302 clinical medicine Diabetic Neuropathies Diabetes mellitus Diabetes Mellitus Prevalence Internal Medicine Humans Medicine Disabled Persons 030212 general & internal medicine Foot ulcers Aged Aged 80 and over Advanced and Specialized Nursing business.industry History 20th Century Middle Aged medicine.disease R1 Diabetic Foot Lower Extremity Amputation Female business Demography |
| Zdroj: | Diabetes care, 43(5), 964-974. American Diabetes Association Inc. |
| ISSN: | 1935-5548 0149-5992 |
| Popis: | OBJECTIVE No study has reported global disability burden estimates for individual diabetes-related lower-extremity complications (DRLECs). The Global Burden of Disease (GBD) study presents a robust opportunity to address this gap. RESEARCH DESIGN AND METHODS GBD 2016 data, including prevalence and years lived with disability (YLDs), for the DRLECs of diabetic neuropathy, foot ulcer, and amputation with and without prosthesis were used. The GBD estimated prevalence using data from systematic reviews and DisMod-MR 2.1, a Bayesian meta-regression tool. YLDs were estimated as the product of prevalence estimates and disability weights for each DRLEC. We reported global and sex-, age-, region-, and country-specific estimates for each DRLEC for 1990 and 2016. RESULTS In 2016, an estimated 131 million people (1.8% of the global population) had DRLECs. An estimated 16.8 million YLDs (2.1% global YLDs) were caused by DRLECs, including 12.9 million (95% uncertainty interval 8.30–18.8) from neuropathy only, 2.5 million (1.7–3.6) from foot ulcers, 1.1 million (0.7–1.4) from amputation without prosthesis, and 0.4 million (0.3–0.5) from amputation with prosthesis. Age-standardized YLD rates of all DRLECs increased by between 14.6% and 31.0% from 1990 estimates. Male-to-female YLD ratios ranged from 0.96 for neuropathy only to 1.93 for foot ulcers. The 50- to 69-year-old age-group accounted for 47.8% of all YLDs from DRLECs. CONCLUSIONS These first-ever global estimates suggest that DRLECs are a large and growing contributor to the disability burden worldwide and disproportionately affect males and middle- to older-aged populations. These findings should facilitate policy makers worldwide to target strategies at populations disproportionately affected by DRLECs. |
| Databáze: | OpenAIRE |
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